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Why does a nurse avoid administering glycerin to a dying client?
- A. Because it diminishes the heart’s oxygen supply.
- B. Because it causes the skin to be pale or mottled.
- C. Because it tends to pull fluid from the body of the client.
- D. Because it causes skin breakdown.
Correct Answer: C
Rationale: Glycerin can dehydrate the client, exacerbating fluid imbalances in terminally ill patients.
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Tom complains of hunger and lack of energy midmorning. What suggestion would be most helpful?
- A. As a midmorning snack drink a glass of apple juice and eat a pear
- B. Drink only coffee with sugar for breakfast
- C. Eat a sweet roll midmorning
- D. Drink a glass of orange juice and eat three pieces of toast for breakfast
Correct Answer: A
Rationale: A balanced snack like apple juice and a pear provides quick energy and nutrients without excessive calories.
Nursing diagnoses mostly differ from medical diagnoses, in that they are
- A. dependent upon medical diagnoses for the direction of appropriate interventions.
- B. primarily concerned with caring, while medical diagnoses are primarily concerned with curing.
- C. primarily concerned with human response, while medical diagnoses are primarily concerned with pathology.
- D. primarily concerned with psychosocial parameters, while medical diagnoses are primarily concerned with physiologic parameters.
Correct Answer: C
Rationale: Nursing diagnoses focus on the patient's response to health conditions, whereas medical diagnoses focus on the disease itself.
7. According to Traditional Chinese Medicine, when does disease occur?
- A. Yin and yang become imbalanced, altering the flow of Qi.
- B. Acupoints in Qi channels become obstructed, preventing the release of Qi.
- C. The body’s natural healing abilities are impaired by obstruction of fluid channels.
- D. The individual is out of harmony with nature and requires spiritualism and mysticism to reestablish balance.
Correct Answer: A
Rationale: In Traditional Chinese Medicine, disease occurs when Yin and Yang become imbalanced, disrupting the flow of Qi, as described in option A.
What should be included in Mr. Dean’s teaching plan for respiratory isolation?
- A. Using disposable tissues for his respiratory secretions
- B. Reporting any allergies to the staff
- C. Asking family and friends not to visit
- D. Getting the patient out of bed frequently
Correct Answer: A
Rationale: Disposable tissues prevent the spread of pathogens.
List at least three behaviors or practices that can contribute to insomnia.
- A. Irregular sleep schedule
- B. Consumption of caffeine or alcohol
- C. Excessive screen time before bed
- D. Provide enough positive pressure in the airway to prevent airway collapse
Correct Answer: A
Rationale: The correct answers are A, B, and C. Irregular sleep schedules, caffeine/alcohol consumption, and excessive screen time disrupt sleep patterns, contributing to insomnia.